Provider Demographics
NPI:1750568663
Name:THORPE, STEPHEN GREGORY (LMFT)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:GREGORY
Last Name:THORPE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25108 JEFFERSON AVENUE
Mailing Address - Street 2:STE A
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562
Mailing Address - Country:US
Mailing Address - Phone:951-894-2885
Mailing Address - Fax:951-894-2888
Practice Address - Street 1:25108 JEFFERSON AVE
Practice Address - Street 2:STE A
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1702
Practice Address - Country:US
Practice Address - Phone:951-894-2885
Practice Address - Fax:951-894-2888
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 30495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist